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11. 发明授权

US09283092B2 Laterally deflectable implant 有权
标题翻译：横向植入物
公开(公告)号：US09283092B2
公开(公告)日：2016-03-15
申请号：US14608238
申请日：2015-01-29
申请人： NLT SPINE LTD
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/46 , A61B17/88 , A61B17/70 , A61F2/28 , A61F2/30
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.
摘要翻译：用于植入体内的可横向偏转的不对称植入物可以包括具有远端和近端并且假设有拉直插入状态的可偏转片。骨架可以在可偏转片的远端处与所述可偏转片邻接或互连。在完全偏转状态下，植入物可以限定不对称形状，例如， D形环，限定至少部分封闭的体积。可偏转件可以包括在有效铰链处互连的段的序列。施加到可偏转片的近端的纵向压力（或以相反的方向施加到骨架）可能导致主体和可偏转片的近端之间的相对纵向移动，并且可产生可偏转片的向外水平运动远离骨干。在一个实施例中，使用横向进入将植入物植入椎骨的前部区域并在后方部署。

12. 发明申请

US20150142118A1 SURGICAL SYSTEMS AND METHODS FOR IMPLANTING DEFLECTABLE IMPLANTS 有权
标题翻译：用于植入可植入植入物的外科系统和方法
公开(公告)号：US20150142118A1
公开(公告)日：2015-05-21
申请号：US14608231
申请日：2015-01-29
申请人： NLT SPINE LTD
发明人： Tzony SIEGAL , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61F2/30965 , A61F2/44 , A61F2/4455 , A61F2/4465 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30126 , A61F2002/30179 , A61F2002/302 , A61F2002/30471 , A61F2002/305 , A61F2002/30579 , A61F2002/4415 , A61F2002/4475 , A61F2002/4635 , A61F2210/0019 , A61F2220/0025 , A61F2220/0091 , A61F2230/0008 , A61F2230/0065 , A61F2250/0058 , A61F2310/00017 , A61F2310/00023
摘要： Deflectable implants, systems and methods for implanting deflectable implants are disclosed. The deflectable implant includes at least one sequence of segments, the sequence includes at least two segments, the segments being interconnected at effective hinges, the sequence assuming a straightened or low curvature insertion state for insertion into the body, the sequence being deflectable to a fully deflected state defined by abutment of abutment features of adjacent of the segments. The deflectable implant includes further a linkage mechanically linked to at least part of at least one of the sequences of segments for deflecting the at least one sequence of segments from the insertion state towards the fully deflected state wherein the at least one sequence is at least part of a loop structure assuming a low profile folded state with the at least one sequence in the insertion state, and wherein deflection of the at least one sequence towards the fully deflected state generates an open state of the loop structure and wherein the loop defines an enclosed volume.
摘要翻译：公开了用于植入可偏转植入物的可偏转植入物，系统和方法。所述可偏转植入物包括至少一个片段序列，所述序列包括至少两个片段，所述片段在有效铰链处互连，所述序列假设用于插入到所述身体中的矫直或低曲率插入状态，所述序列可偏转到完全由相邻节段的邻接特征的邻接限定的偏转状态。可偏转植入物还包括机械地连接至至少一部分片段序列的连杆，用于将至少一个片段序列从插入状态偏转到完全偏转状态，其中至少一个序列是至少部分假定具有处于插入状态的至少一个序列的低轮廓折叠状态的环形结构，并且其中所述至少一个序列朝向完全偏转状态的偏转产生环结构的打开状态，并且其中所述环限定封闭卷。

13. 发明授权

US09017413B2 Expanding implant for insertion between two regions of tissue and corresponding method 有权
标题翻译：扩大植入物在组织的两个区域之间插入和相应的方法
公开(公告)号：US09017413B2
公开(公告)日：2015-04-28
申请号：US13941550
申请日：2013-07-15
申请人： NLT Spine Ltd.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/46 , A61B17/70 , A61F2/28 , A61F2/30
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.
摘要翻译：用于植入体内的可横向偏转的不对称植入物可以包括具有远端和近端并且假设有拉直插入状态的可偏转片。骨架可以在可偏转片的远端处与所述可偏转片邻接或互连。在完全偏转状态下，植入物可以限定不对称形状，例如， D形环，限定至少部分封闭的体积。可偏转件可以包括在有效铰链处互连的段的序列。施加到可偏转片的近端的纵向压力（或以相反的方向施加到骨架）可能导致主体和可偏转片的近端之间的相对纵向移动，并且可产生可偏转片的向外水平运动远离骨干。在一个实施例中，使用横向进入将植入物植入椎骨的前部区域并在后方部署。

14. 发明申请

US20140316467A1 BONY STRUCTURE FIXATION CLAMP 审中-公开
标题翻译： BONY结构固定夹
公开(公告)号：US20140316467A1
公开(公告)日：2014-10-23
申请号：US14354938
申请日：2012-10-31
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61B17/70
CPC分类号： A61B17/7065 , A61B17/7023 , A61B17/7047 , A61B17/7062 , A61B17/707
摘要： A clamp comprises a first structure configured to exert force on a first bony structure at a first point of contact, a second structure configured to exert force on a second bony structure at a second point of contact, a spacer pivot positionable between the first and second bony structures and comprising a pivot point offset in an anterior (or posterior) direction relative to a line between the first and second points of contact when (i) the first structure is deployed to engage the first bony structure and (ii) the second structure is deployed to engage the second bony structure. The clamp may include a clamping structure, adjusting a distance between the first and second structures, and preferably also connecting the spacer pivot. The deployed spacer pivot is operatively connected to the first and second structures when the first and second structures are deployed.
摘要翻译：夹具包括构造成在第一接触点处对第一骨结构施加力的第一结构，构造成在第二接触点处对第二骨结构施加力的第二结构，可定位在第一和第二接触点之间的间隔物枢轴骨骼结构并且当（i）第一结构被展开以接合第一骨结构并且（ii）第二结构时，相对于第一和第二接触点之间的线，在前（或后））方向上包括枢轴点偏移被部署到第二个骨骼结构。夹具可以包括夹紧结构，调整第一和第二结构之间的距离，并且优选地还连接间隔件枢轴。当展开第一和第二结构时，展开的间隔件枢轴可操作地连接到第一和第二结构。

15. 发明申请

US20150209151A1 MEDICAL DEVICE LOCK MECHANISM 有权
标题翻译：医疗器械锁定机构
公开(公告)号：US20150209151A1
公开(公告)日：2015-07-30
申请号：US14664867
申请日：2015-03-22
申请人： NLT SPINE LTD
发明人： Tzony SIEGAL , Dvir Keren , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61B17/7094 , A61B17/8852 , A61F2/02 , A61F2/4455 , A61F2002/2835 , A61F2002/30331 , A61F2002/30367 , A61F2002/30462 , A61F2002/30469 , A61F2002/3052 , A61F2002/30522 , A61F2002/30624 , A61F2002/30632 , A61F2002/4415 , A61F2002/448 , A61F2002/4635 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075
摘要： A medical device (10) includes an implant body (20) with a number of segments (30) hingedly interconnected so as to assume a straightened state for delivery and a flexed or roughly curved deployed state. Implant body may have engagement elements on at least two different segments, for example on a majority of segments. An elongated locking element anchored at the distal segment of the implant body may have projections for at least each engagement element. Tension applied to the locking element biases the implant body from the straightened state to the flexed deployed state. When the locking element is deflected to reach the curved deployed state, flexing segments of the implant body lock by matching engagement elements of the implant body with projections of the locking element. A very secure lock may be formed to prevent opening after deployment.
摘要翻译：医疗装置（10）包括植入体（20），其具有铰接地互连的多个段（30），以便呈现用于输送的拉直状态和弯曲或大致弯曲的展开状态。植入体可以在至少两个不同的段上具有接合元件，例如在大部分段上。锚定在植入物主体的远侧段处的细长锁定元件可以具有用于至少每个接合元件的突起。施加到锁定元件的张力将植入体从矫直状态偏压到弯曲展开状态。当锁定元件偏转以达到弯曲展开状态时，通过使植入物本体的接合元件与锁定元件的突出部匹配来弯曲植入体主体锁定部分。可以形成非常安全的锁，以防止部署后打开。

16. 发明申请

US20150173910A1 METHOD AND SYSTEM FOR IMPLANTS 审中-公开
标题翻译：植入物的方法和系统
公开(公告)号：US20150173910A1
公开(公告)日：2015-06-25
申请号：US14421844
申请日：2013-08-29
申请人： NLT SPINE LTD
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61F2/44 , A61F2/4465 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30156 , A61F2002/30289 , A61F2002/30293 , A61F2002/30354 , A61F2002/30383 , A61F2002/30387 , A61F2002/30398 , A61F2002/30471 , A61F2002/30538 , A61F2002/30565 , A61F2002/30578 , A61F2002/30579 , A61F2002/30596 , A61F2002/30599 , A61F2002/30772 , A61F2002/30892 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2310/00023
摘要： A surgical implant includes a rod or guide, initially deployed to the surgical site, over which segments are deployed, typically by sliding and advancing the segments along or over the rod or guide. The rod is typically of a predefined curvature, which defines the shape of the implant. The rod deflects or orients into this predefined curvature upon its deployment at the surgical site. A portion of the rod with the segments remains at the surgical site after the requisite procedure is performed.
摘要翻译：手术植入物包括最初部署到外科手术部位的杆或引导件，通常通过这些部件沿杆或引导件沿着或超过该部分滑动和推进段。棒通常具有预定的曲率，其限定了植入物的形状。杆在其在手术部位的展开时偏转或定向成该预定曲率。在执行必要的程序后，具有段的棒的一部分保留在手术部位。

17. 发明申请

US20150157378A1 MATERIAL DELIVERY DEVICE 审中-公开
标题翻译：材料交付设备
公开(公告)号：US20150157378A1
公开(公告)日：2015-06-11
申请号：US14390032
申请日：2013-04-04
申请人： NLT SPINE LTD.
发明人： Oded Loebl , Didier Toubia
IPC分类号： A61B17/88
CPC分类号： A61B17/8822 , A61B17/8805 , A61B17/8816
摘要： Devices for introducing materials into the body include collapsible material-filled tubes with pressure members, movable along the tubes. When the pressure members are advanced toward the tube opening, the tube collapses causing material to be emitted from the tube to the desired location or surgical site in the body.
摘要翻译：用于将材料引入体内的装置包括具有压力构件的可收缩材料填充管，其可沿管移动。当压力构件朝向管开口前进时，管塌陷，导致材料从管发射到身体中期望的位置或手术部位。

18. 发明申请

US20140074096A1 DEFLECTABLE TISSUE DISRUPTION DEVICE 审中-公开
标题翻译：可组织的组织破坏装置
公开(公告)号：US20140074096A1
公开(公告)日：2014-03-13
申请号：US14079670
申请日：2013-11-14
申请人： NLT SPINE LTD.
发明人： Tzony SIEGAL , Oded Loebl , Didier Toubia
IPC分类号： A61B17/16
CPC分类号： A61B17/1671 , A61B17/1631 , A61B17/32002 , A61B2017/00398 , A61B2017/2927 , A61B2017/2936 , A61B2017/2943 , A61B2017/320032 , A61B2090/034
摘要： A tissue disruption device may comprise a deflectable elongated tissue disrupting element rotatable around its central axis, the central axis being a longitudinal axis when the disrupting element is in a straightened state. The tissue disrupting element may be rotatably anchored at a distal location and may be deflectable into a curved configuration. A rotary drive configured to rotate the tissue disrupting element around its central axis in the straightened state and in the curved configuration. An elongated element may be wound around and rigidly affixed to the tissue disrupting element. In some embodiments, the elongated element protrudes sufficiently radially from the tissue disrupting element that rotation of the tissue disrupting element generates an axial motion of disrupted tissue. In one preferred embodiment, the tissue disrupting element and/or elongated element comprises wire mesh.
摘要翻译：组织破碎装置可以包括可围绕其中心轴线旋转的可偏转的细长组织中断元件，当中断元件处于矫直状态时，中心轴线是纵向轴线。组织破坏元件可以可旋转地锚定在远侧位置并且可以偏转成弯曲构造。一种旋转驱动器，其构造成在拉直状态和弯曲构型中围绕其中心轴旋转组织破坏元件。细长元件可以缠绕并刚性地固定到组织破坏元件。在一些实施例中，细长元件从组织破坏元件充分径向伸出，组织破坏元件的旋转产生破坏的组织的轴向运动。在一个优选实施例中，组织破坏元件和/或细长元件包括丝网。

19. 发明申请

US20130304214A1 Laterally Deflectable Implant 审中-公开
公开(公告)号：US20130304214A1
公开(公告)日：2013-11-14
申请号：US13941550
申请日：2013-07-15
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.

20. 发明申请

US20130041471A1 Laterally Deflectable Implant 有权
公开(公告)号：US20130041471A1
公开(公告)日：2013-02-14
申请号：US13654463
申请日：2012-10-18
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.

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